Process - Physician - Fraser Health Authority

Appendix CStandardized Mini Mental State Examination (SMMSE) Cont’dTable 1. Stages of Cognitive Impairment as Defined by SMMSE ScoresSCORE DESCRIPTION STAGE DURATION (Years)30-26 Could be normal Could be normal Varies25-20 Mild Early 0 to 2319-10 Moderate Middle 4-79-0 Severe Late 7-14Table 2. Areas of Functional ImpairmentSMMSE SCORE ACTIVITIES OF DAILY LIVING COMMUNICATION MEMORY30-26 Could be normal Could be normal Could be normal25-20 Driving, finances, shopping Finding words, repeating, Three-item recall,going off topicorientation to time then place19-10 Dressing, grooming, toileting Sentence fragments, vague Spelling WORLD backward,terms (i.e: this, that) language, and three-stepcommand9-0 Eating, walking Speech disturbances such Obvious deficits in all areasas stuttering and slurringAdapted from: Vertesi A, Lever JA, Molloy DW, et al. Standardized mini-mental state examination: Use and interpretation.Canadian Family Physician 2001;47:2018-2023.Cognitive Impairment in the Elderly – Recognition, Diagnosis and ManagementRevised January 30, 2008167